Price Comparison Report
Office Visit Established Patient Level 4
High Point, NC · 3 facilities · CPT 99214 · May 30, 2026
Summary
3 facilities within 25 miles of High Point publish prices for Office Visit Established Patient Level 4. Cash prices range from $107 to $210 — a 2.0x difference for an identical procedure. The North Carolina average is $267.
Choosing the lowest-priced facility over the highest saves $103.
Novant Health Forsyth Medical Center
Winston-Salem, VA · Novant Health · 14.4 mi
Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 68%. Cash price of $210 is below the statewide average of $267.
All facilities ranked by price
Complete facility data
| # | Facility | Cash Price | Gross Charge | Markup | CMS Stars | Patient Rating | Ownership |
|---|---|---|---|---|---|---|---|
| 1 | Lexington Memorial Hospital INC Lexington, NC · 14.4 mi | $107 | $214 | 2.0x | 3/5 | 72.0% | Nonprofit |
| 2 | High Point Regional Health System High Point, NC · 0.0 mi | $148 | $295 | 1.99x | 2/5 | 64.0% | Nonprofit |
| 3 | Novant Health Forsyth Medical Center Novant Health Winston-Salem, NC · 14.4 mi | $210 | $350 | 1.67x | 4/5 | 68.0% | Nonprofit |
Insurance negotiated rates by facility
The rates below are what each insurer has contractually agreed to pay this hospital for Office Visit Established Patient Level 4. Your actual out-of-pocket cost depends on your deductible status and copay structure.
Lexington Memorial Hospital INC
Cash: $107| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Medicaid | — | $44 | -$63 |
| Ambetter | — | $72 | -$35 |
| Medcost Ultra | — | $94 | -$13 |
| Aetna | — | $116 | +$9 |
| Medicare | — | $116 | +$9 |
| Cigna | — | $116 | +$9 |
| HealthTeam Advantage | — | $116 | +$9 |
| UnitedHealthcare | — | $116 | +$9 |
| DirectNet | — | $126 | +$19 |
| Medcost | — | $149 | +$42 |
| Healthgram Lexington Brands | — | $154 | +$47 |
| Coventry Wellpath | — | $160 | +$53 |
| Healthgram | — | $171 | +$64 |
| Multiplan-PCHS | — | $182 | +$75 |
| Coventry First Health | — | $186 | +$79 |
3 additional plans not shown.
High Point Regional Health System
Cash: $148| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Medicaid | — | $46 | -$102 |
| Anthem | — | $125 | -$23 |
| Cigna | — | $125 | -$23 |
| Medicare | — | $125 | -$23 |
| UnitedHealthcare | — | $126 | -$22 |
| Medcost Ultra | — | $135 | -$13 |
| Direct Net | — | $174 | +$26 |
| Aetna | — | $186 | +$38 |
| Medcost | — | $202 | +$54 |
| Coventry WellPath Carolinas | — | $236 | +$88 |
| Coventry WellPath (National) | — | $251 | +$103 |
| Coventry First Health | — | $274 | +$126 |
| Beech Street | — | $280 | +$132 |
| Humana | — | $280 | +$132 |
1 additional plans not shown.
Novant Health Forsyth Medical Center
Cash: $210| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| Carolina Complete | Medicaid | $65 | -$145 |
| AmeriHealth | Medicaid | $66 | -$144 |
| Anthem | Healthy Blue Medicaid | $66 | -$144 |
| UnitedHealthcare | Medicaid | $66 | -$144 |
| Wellcare | Medicaid | $66 | -$144 |
| Cigna | ACA | $135 | -$75 |
| Caresource North Carolina | Qualified Health Plan | $140 | -$70 |
| Aetna | Medicare | $175 | -$35 |
| Anthem | Blue Home | $183 | -$27 |
| Anthem | Blue Value | $189 | -$21 |
| Cigna | Commercial | $208 | -$2 |
| Plotkin Health | All Plans | $210 | same |
| Aetna | Commercial | $216 | +$6 |
32 additional plans not shown.
Before you call
The data in this report is from each hospital's publicly filed prices. Here's how to use it.
Confirm the price
Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Office Visit Established Patient Level 4 (CPT 99214). Under federal law, they must provide this. Compare it to the published price in this report.
Ask about cash pay
If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.
Compare before you schedule
You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.
Ask about financial help
Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.
Financial assistance by facility
Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.
| Facility | Status | Charity Care Provided | How to Apply |
|---|---|---|---|
| Lexington Memorial Hospital INC | Nonprofit | — | Call billing, request Financial Assistance application |
| High Point Regional Health System | Nonprofit | — | Call billing, request Financial Assistance application |
| Novant Health Forsyth Medical Center | Nonprofit | — | Call billing, request Financial Assistance application |
What to do next
Data sources
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
CMS Hospital Compare, updated quarterly
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)
This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.